Infertility refers to a condition when a woman cannot conceive even after having carefully timed and unprotected sex for over a year. It is difficult to pinpoint the exact cause of infertility. However, it may occur due to inadequate levels of some hormones in both men and women and also due to trouble with ovulation in women. A man suffers from infertility if the semen that he ejaculates contains less number of sperms and if the sperm is of low quality. In such a scenario, a man will not be able to reproduce.
There are different factors which can contribute to a man getting infertile. A man can suffer from infertility if he suffers from a condition called varicoceles, or from diseases or conditions like diabetes, cystic fibrosis, trauma, infection, testicular failure or has been exposed to chemotherapy or radiation. Other causes may include alcohol addiction, smoking, use of anabolic steroids and exposure to environmental toxins. A woman can suffer from infertility if any of the organs such as the ovaries, fallopian tubes or the uterus gets damaged.
Treating infertility in men involves treatment for premature ejaculation, varicoceles, blockage of the ejaculation duct, retrograde ejaculation and also surgery for epididymal blockage. A woman may have to take some medications if she is suffering from ovulation disorders. Other treatments for women include intrauterine insemination and even surgery to restore fertility.
A doctor may advise a couple to have more sex per week so as to enable the woman to conceive. However, infertility in men can be due to a number of different reasons and their treatments differ too. Medication and behavioral therapy can help a man to overcome general sexual problems like premature ejaculation and erectile dysfunction. A varicose vein in the scrotum, which can cause infertility, can be surgically removed. In case of blockage of the ejaculatory duct, sperm can be injected into an egg in the laboratory after it has been extracted directly from the testicles. Retrograde ejaculation is treated by taking sperm directly from the bladder and later injected into eggs. The epididymis is a coil-like structure in the testicles that help to store and transport sperm. Surgery can help to remove the blockage if it gets blocked.
A woman suffering from ovulation disorders will be prescribed fertility drugs like clomifene, metformin, human menopausal gonadotrophin, human chorionic gonadotrophin, bromocriptine and follicle stimulating hormone. In addition to these, there are surgical procedures for women. Fallopian tube surgery helps to repair damaged or scarred fallopian tubes and makes it easier for eggs to pass through them. Laparoscopic surgery also helps to increase fertility.
There are some methods which help in assisted conception like intrauterine insemination, in vitro fertilization, intracytoplasmic sperm injection, donating sperm or egg, assisted hatching and surgical sperm aspiration.
A man should becomes eligible for treatment after he has been diagnosed as suffering from such by a doctor. This is because there are no apparent signs or symptoms of infertility in men. The quantity and quality of the semen also appear normal to the naked eye. Therefore the tests that can identify infertility in men are semen analysis, hormone testing, genetic testing, testicular biopsy, imaging and other specialty testing. In case of women, some of the conditions that may make them infertile are irregular or no menstrual periods, endometriosis, pelvic inflammatory disease, very painful periods or multiple miscarriages. Some of the specific fertility tests that help to understand whether a woman is infertile are ovulation testing, hysterosalpingography, ovarian reserve testing, hormone testing and imaging tests.
A person is known to be infertile if he/she has not being able to have a baby even after having frequent and unprotected sex for a year. A man or woman is not eligible for treatment if he/she has been able to make the partner conceive/ conceive herself after having unprotected sex. A person is also not eligible if none of the tests have been able to diagnose him/her as suffering from the condition.
Oral fertility drugs produce milder effects than injectable fertility drugs. The most common side-effects of fertility drugs are bloating, breast tenderness, upset stomach, hot flashes, mood swings and headache. The side effects of gonadotrophins are headache, upset stomach, mood swings, acne, weight gain, abnormal menstrual bleeding, dizziness and even upper respiratory tract infection. Some of the serious side effects of fertility drugs are changes in vision, ectopic pregnancy, ovarian torsion, ovarian hyperstimulation syndrome and allergic reactions. However, the most common side-effect of infertility treatment is a multiple pregnancy.
A person should adopt a healthy lifestyle to make sure that he/she does not get affected by this condition. Smoking and consumption of alcohol increases the risks of infertility and should be avoided. It is of utmost importance for an overweight man to lose some weight. Both men and women should exercise as a sedentary lifestyle increases the risks of infertility. Furthermore, a healthy diet containing adequate quantities of folic acid, iron, zinc and vitamin B-12 should be adopted. A person should also reduce stress as it reduces the chances of conception.
A woman who has undergone laparoscopic surgery can probably go home on the day of the surgery itself. However, a woman will take about 2-3 weeks to recover from the surgery. Research has shown a person can again reproduce within a time span of 2 months- 2 years after successful treatment. A lot of factors determine how soon a person will recover after taking infertility drugs. Some of the factors are the person’s age, health, medical issues and others. A person taking clomiphene will normally see positive results after 5-12 days of taking the last clomiphene pill.
The cost of laparoscopic surgery in India generally ranges between Rs 1 lakh to Rs 2 lakhs. The surgery to remove the varicose vein in the scrotum of a man may cost something between Rs 90,000 and Rs 1,50,000. Clomephene, used to treat infertility in women, costs around Rs 650 per cycle. The prices may vary with other variations of this drug. An ICSI treatment costs between Rs 1,50,000 to RS 2,50,000 while Frozen Embryo Transfer procedure will cost a patient an additional Rs 1,20,000.
A person who has undergone successful treatment for infertility is generally able to reproduce within 2 years. However, this is not a permanent result. A person may again have infertility problems due to leading an unhealthy lifestyle like smoking, drinking or by not being active. Some health issues also may have an effect on the fertility of men and women.
When infertility issues come up due to hormonal problems, using a natural progesterone cream can help a person to address it. Consumption of herbs like red raspberry leaf, nettle leaf, dandelion, alfalfa, red clover, maca and chaste tree berry also help to cure infertility. Getting enough sleep has also proved to play an important part in treating infertility problems.
1 lakhs to 3.7 lakhs
Having a child is something many women dream of but not many get to experience. This is where In-Vitro Fertilization or IVF comes into play. IVF can be a godsend for many people, but sometimes that can fail too. Read on to know more about why IVF treatments fail and what you can do to stop it.
IVF can fail due to various reasons and in order to avoid facing the same problem repeatedly, knowing the reasons might help you understand the situation better. The reasons due to which IVF fail are the following:
- Age of the eggs - Not many people know about this, but in an IVF treatment, the age of a woman’s eggs matter more than the age of the woman. With age, the quality and quantity of a woman’s eggs, known as ovarian reserve deteriorate as a result of which, the whole IVF process gets affected. Women aged under 35 years of age, who use their own eggs have an implantation rate of 40% and women aged 40 years to 42 years have a 15% chance. This is why older women choose to use the eggs of younger women for implantation as egg quality plays an important role.
- Quality of embryo - Another major reason for IVF failure is the bad quality of embryos. It is not always the fault of the uterus that you are not being able to carry a baby, it is just that your embryo is not healthy enough to implant or grow. Many IVF procedures fail due to defects in embryos.
- Lifestyle issues - Your lifestyle and daily habits can play a huge role in deciding whether your IVF will be successful or not. Most doctors ask patients to stop smoking three months prior to the procedure, as women who smoke need twice as many treatments as compared to women who do not. Smoking can also cause you to miscarry. Additionally, it is important to maintain a healthy body weight as underweight or overweight women have fewer chances of getting pregnant.
- The response of the ovaries - Not every woman’s body is the same, as some women’s ovaries do not react strongly to the medicines, in order to produce multiple eggs. If a woman has higher FSH levels or if she is over 37 years of age, then there are high chances her IVF procedure will fail. Consult your gynaecologist or endocrinologist if you have any questions or doubts.
Solutions for solving IVF failure
Just because your previous IVF treatment might have ended failure, that does not mean you should give up. You can take the following steps to ensure that it does not happen again:
- Pre-treatment tests - When you are trying to conceive a baby, the IVF treatment is not the only treatment you should focus on. You must also give due importance to the pre-treatment tests, as these tests can help you understand the inside of your body. Pre-treatment tests like a trans-vaginal scan of your ovaries, uterus and fallopian tubes, semen analysis and hormone profiling are important and should not be ignored in any way.
- Choose the right doctor - Never ever go for a doctor you are not 100% sure of. Make sure that you select a doctor that has a very high success ratio and a lot of experience behind him. There is no point compromising when you are selecting your doctor, as he will play one of the biggest parts in deciding whether you will get to be a parent or not.
- Do not overdo anything - After the embryo transfer, it is important that you maintain a healthy balance between being active and resting. Sleeping or lying on your bed all day is not a good idea for the embryo nor is being over-active. Get some light exercise if you want and follow your normal sleep schedule and you will be good to go.
- Do not be stressed out - Even though the whole IVF process can be somewhat stressful; try not to be too stressed out. It is imperative that you remain as happy and relaxed as you can, as your mental wellbeing can greatly determine your chance at success.
Children can bring a lot of joy to a person’s life and everyone should get to experience at least once in their lives. IVF is one of the best tools for becoming a parent. As long as you have a clear idea about the process, causes for its failure and how to overcome it, you will be fine.
In today’s modern era, fast paced society, it is very very common for people to become stressed. In fact, one would almost think that if you aren’t stressed out, there is something wrong with you! Realistically its not a good thing for our bodies in general, and has a major impact on your fertility potential. One may or may not realize the stress factor.
How can Stress affect your Fertility?
Research tells us that stress boosts levels of stress related hormones, such as adrenaline and cortisol, which can inhibit the release of the body’s main reproductive hormone, GnRH (gonadotropin releasing hormone), which is responsible for the release of sex hormones. Subsequently this may suppress ovulation in women, reduce sperm count in men and lower libido in both women and men. Adrenaline,which is a stress relieving hormone and gives your body the rush to face the stress. This hormone alters progesterone levels, which is essential for fertility. Caffeine reduces Prolactin hormone levels, which interferes with ovulation and fertilization. Hence its essential that your stress & anxiety levels are under control.
Chronic stress may cause lack of libido as well as a decrease in general fertility. This has become so common that ,it has been specially termed as 'Stress Induced Reproductive Dysfunction'. Every couple should try to work towards reducing stress levels at work place and home, while going for fertility treatment.
Ways to reduce stress & improve fertility:
If you are having difficulty to conceive, it's imperative that you evaluate your lifestyle and look for the stress factors. Remember defeating the stress may be the solution to your worries.
Reduce stress : The issues in your life may be work or relationship related. You need to learn to balance your personal and professional life. The sooner you do it the better; after all you are preparing yourself to welcome a new born in your life.
Change your reactions: Get a hang of the situation and react accordingly. Over reaction to a situation can harm your body and mind. Stop bothering about every small thing in life.
Let few things be the way they are: Stop getting bothered about people who matter the least in life. Remember, most of the things will fall in place. Let few things be the way they are.
Make it your habit to reduce stress: Call it an obsession or a practice, train your mind to choose practical and possible solutions which will be less stressfull..
Please note that if your fertility reports are normal, then it's just a matter of time. Be calm and composed so that you are able to face the rough waters clearly with your partner. Finally, follow advice of your Fertility Specialists with sincerity & determination.
In vitro fertilization (IVF) is continually helping many infertile couples achieve their goal of conception. It has the highest success rate of Assisted Reproductive Technologies (ARTs). Along with helping the parents overcome diseases in their bodies, they help prevent predicted diseases in the offspring by offering the option to pick and choose healthy and improved embryos. Needless to say, it is both a biological and social breakthrough.
• Low Sperm Count
This condition occurs when the man produces healthy, normal sperm but produces it in very low quantities. As a result, fertilization cannot properly occur. IVF can help in this regard. The healthy sperm is obtained, and procedures are carried out in the laboratory to make it suitable for fertilization.
• Fallopian Tube Damage
This occurs due to permanent and irreversible scarring of the Fallopian tubes in the female partner. Sometimes, the tubes are so damaged that surgery fails to bring it back to normal, or surgery is not feasible without harming the woman’s health farther. In such cases, IVF is very helpful as it discards the use of the Fallopian tubes in reproduction by bypassing them.
• Ovulation Issues
IVF can help a couple conceive in spite of ovulatory difficulties the woman might have. Ovulatory difficulties involve infrequent ovulation of the female More Than One Cause of Infertilityor irregular ovulation. Both these cases make it very difficult, if not impossible, for the couple to conceive.
• Inexplicable Infertility
IVF aids a lot in these cases too. In some cases, causes of infertility cannot be pinpointed after several diagnostic tests. The processes are both money and time to consuming and leaves the patients frustrated if the process fails. IVF can come to the rescue then. It has a proven track record of success aiding couples with undiagnosable infertility issues.
• More Than One Cause of Infertility
When there are several causes of infertility in both the male and female bodies, or if there are several problems with the body of an individual partner. IVF can aid successful conception.
IVF is a breakthrough biological and scientific procedure that is helping people conceive in spite of several fertility issues in their bodies. There are various debilitating reproductive disorders that IVF has helped overcome in recent years. The most major ones are listed above, and you can also benefit from IVF if you have those!
In vitro fertilization or IVF technology assists millions of infertile women and couples worldwide to have babies of their own. fertility problems can be of various types and origins can be congenital, acquired or accidental. However, they come as a great deterrent and source of unhappiness in the lives of people. To overcome that deficit, assisted reproductive technologies (ARTs) were developed.
IVF is one of the most popular, with one of the highest success rates, and here are 4 of its primary benefits:
• It Provides Couples Relief from Infertility
There are a lot of couples who are unable to conceive and start a family of their own due to problems in either the man or the woman’s body. As a result of disease or injury, fallopian tubes may be blocked, sperm count may be low or uteruses may be damaged. IVF helps couples bypass these difficulties smoothly.
• It Provides Great Support to Single Mothers
There is a lot of social stigmas associated with single motherhood, and the question of conceiving just adds to their troubles. There are many reasons a woman may choose to embark on single motherhood. She may have been constrained financially or emotionally, too much for taking on a partner, or she may just choose to live a life that way. Society doesn’t empathise, but IVF makes their job of conception much easier and absolves them of the need to find a male.
• High Chances of Achieving Objectives
Translated to simpler language, this means high success rates. In fact, the success rates of IVF procedures are the highest among all ARTs. Granted, it does not work in all cases and some people routinely report failure. To fix this, the therapist and the patients themselves have to ensure the entire cycle is completed and is carried out under textbook conditions.
• The Ability to Pick and Choose, and a Cheaper Option
This is a medical procedure which actually gives one the option to pick and choose future children. Tests are run to determine whether life-threatening conditions like genetic anomalies are present in the embryo the couple has conceived. If any are detected, they are immediately arrested and a healthier embryo is set up for growth. Moreover, in many cases, your health insurance will pay for your IVF, making it incredibly cheap.
IVF is a much-needed boost to the medical industry in the form of helping infertile couples to give birth to healthy babies. It takes place in a laboratory under controlled conditions and has a host of benefits even above and beyond helping people conceive.
Infertility is a emerging health concern today. According to the Indian Society of Assisted Reproduction, around 10-15% of Indian women are affected by infertility. The rate goes up in urban areas where every one in six women is diagnosed infertile. Around 27 million couples in India require assistance to reproduce.
What is hysterolaparoscopy?
This is an endoscopic procedure, where small telescope is introduced in abdominal cavity. Reproductive organs like uterus, ovaries, fallopian tubes, pouch of douglas are examined under magnified view. It can be diagnostic or operative scopy in case of any pathologies. Tubal patency can be confirmed using methylene blue dye (diluted one).
Just one session can clear questions relating to tubal patency, ovarian morphology, uterine abnormalities and undetected pelvic pathology. Moreover, other procedures like hysteroscopy guided tubal cannulation, lateral or fundal metroplasty, biopsy, polypectomy, adhesiolysis, septal resection and myomectomy can all be performed in the same sitting.
Which infertility patients benefit from Hystero laparoscopy?
Unilateral or bilateral tubal block
Pelvic inflammatory diseases
T shaped cavity
Hysterolaparoscopy is an efficient way to optimize fertility. It is usually done when simple treatment modalities fails to achieve pregnancy or when SSG (Sono salpingo graphy)/HSG(hystero salpingo graphy) suggests tubal block or for other associated pathologies listed above or in cases of unexplained infertility.
Hysteroscopy deals with pathologies in uterine cavity, so plays vital role for women going for IVF, especially those with recurrent miscarriages, thin endometrium, h/o recurrent implantation failures, submucous myomas. Cases with Asherman's Syndrome or big submucous myomas may need second look hysteroscopy. This is a daycare procedure, whereas Laparoscopy needs at least 24 hour hospital stay. The procedure requires advanced equipments & skilled surgeon. It offers speedy recovery and minimum number of stitches on the abdomen. All this has made hysterolaparoscopy, an important tool in the evaluation of infertility.